| NPI | 1639171853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01049434A) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2026-02-25 |